Cost of Care Survey

The world’s population is aging at a faster rate than ever before and people are living longer. Every day until 2030, 10,000 Baby Boomers will turn 65a and 7 out of 10 people will require long term care in their lifetime.b

The cost of that care varies based on care setting, geographic location of care and level of care required, among other things. Using Genworth’s Cost of Care Survey tool below, you and your family can calculate the cost of long term care across the U.S. Knowing the cost is a first step to helping you plan for it.

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Monthly Median Costs: National (2019)




Adult Day Health Care, Assisted Living Facility, and Nursing Home Facility categories do not use hourly rates.

National (2019)

Community and Assisted Living
Nursing Home Facility

National (2019)

Community and Assisted Living
Nursing Home Facility

In-Home Care - Skilled Nursing
In some situations, people need skilled nursing care in their homes to assist with medication and other medical needs. It's important to know these costs when planning for future needs.

Based on National Median,
National Median $87.50 per visit

Key findings and methodology

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Test your knowledge of long term care with question quiz.

Next Steps: Plan for Long Term Care

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About Cost of Care Survey

For 16 years, Genworth has tracked the cost of long term care services nationwide to help families understand and plan for their long term care needs. Conducted annually by the CareScout® research team, the survey results have become the foundation for long term care planning. Get answers to frequently asked questions and additional details into the research methodology used for the Genworth Cost of Care Survey.

Frequently asked questions about the Cost of Care Survey

During May and June 2019, CareScout, a Genworth company, contacted 53,901 providers by phone to complete 15,178 surveys of nursing homes, assisted living facilities, adult day health facilities and home care providers.

  • Surveyors polled more than 11 percent of home health care providers, resulting in more than 3,700 completed surveys.
  • Surveyors polled more than 31 percent of adult day health care facilities, resulting in over, 1,200 completed surveys.
  • Surveyors polled more than 14 percent of licensed assisted living facilities, resulting in more than 6,100 completed surveys.
  • Surveyors polled nearly 21 percent of certified and licensed nursing homes, resulting in over 3,500 completed surveys.

Potential respondents were selected randomly from the CareScout nationwide database of providers in each category of long term care services. Survey respondents represent all 50 states, the District of Columbia and Puerto Rico.

One of the most comprehensive surveys of its kind, the Genworth Cost of Care Survey publishes costs in 441 regions based on the 389 U.S. Metropolitan Statistical Areas (MSAs).

MSA definitions are established by the U.S. Office of Management and Budget and include approximately 85 percent of the U.S. population.

Since the inception of the survey, Genworth has followed industry guidance with representing 44 hours as the estimated number of hours per week for professional inhome caregivers. Since we understand that everyone’s situation may vary based on the degree of required care, you can use the “Change weekly In-Home Care hours” section (located below the Cost of Care table) to adjust the number of hours from 7 hours per week to a maximum of 168 hours (24 hours of care / 7 days a week) to better represent your care needs.

CareScout, a Genworth company, helps Americans across the United States find quality care providers for their long term care needs. As an objective source for this provider information, CareScout, developed the nation’s first quality of care rating system for certified nursing homes and home care providers. Large employers, risk underwriters, and families rely on CareScout’s proprietary ratings system, the CareScout network, and its database of about 100,000 providers, including nursing homes, assisted living facilities and home care agencies, to help find and arrange the most appropriate care for loved ones. For more information, visit carescout.com.

In Home Care Options

Homemaker Services: Services providing help with household tasks that cannot be managed alone. Homemaker services includes "hands-off"care such as cooking, cleaning and running errands.

Home Health Aide Services: Home health aides offer services to people who need more extensive care. It is "hands-on" personal care, but not medical care. The rate listed here is the rate charged by a non-Medicare certified, licensed agency.

Community Option

Adult Day Health Care (ADC): Provides social and support services in a community-based, protective setting. Various models are designed to offer socialization, supervision and structured activities. Some programs may provide personal care, transportation, medical management and meals.

Facility Options

Assisted Living Facility (ALF): Residential arrangements providing personal care and health services. The level of care may not be as extensive as that of a nursing home. Assisted living is often an alternative to a nursing home, or an intermediate level of long term care. Assisted Living Facilities are referred to as Residential Care Facilities in California.

Nursing Home Care: These facilities often provide a higher level of supervision and care than Assisted Living Facilities. They offer residents personal care assistance, room and board, supervision, medication, therapies and rehabilitation, and on-site nursing care 24 hours a day.

Learn more about Long Term Care and the choices in care settings

Home Health Aide (HHA) and Personal Care Aide (PCA)c
Home Health Aides and/or Patient Care Assistants help with patient’s daily activities such as: cleaning and bathing, toileting, dressing, housekeeping, scheduling, transferring, shopping for groceries, and serving meals. If qualified with training, some HHAs or PCAs can check vital signs such as pulse, temperature, and respiration rate. The educational requirements for an HHA or PCA is typically a high school diploma.

Nursing Assistant (CNA)d
Nursing Assistants, also known as Certified Nursing Assistants, provide basic care needs for a patient’s daily activities such as: cleaning and bathing, toileting, dressing, transferring, measuring vital signs and blood pressure, and serving meals. Some Nursing Assistants can administer medications depending on state they work in. The educational requirements for a Nursing Assistant or CNA are to attend a state approved education program and pass a state competency exam.

Licensed Practical Nurse (LPN) and Licenses Vocational Nurse (LVN)e
LPNs and LVNs, provide more advanced care needs under the supervision of a registered nurse, such as: checking vital signs, changing bandages, inserting catheters, bathing, dressing, discussing care needs, and reporting patient status to registered nurses or doctors. Some LPNs and LVNs can administer medications and IV drips depending on state they work in. The educational requirements for a LPNs and LVNs is to receive a certificate or diploma by attending a state approved educational program. LPNs and LVNs also must pass the National Council Licensure Examination.

Registered Nurse (RN)f
Registered Nurses, also knowns as RNs, provide advanced care needs and educate the patient and family members about health conditions. Registered Nurses do the following, but not limited to assess patients’ conditions, administer patient’s medicines and treatments, operate and monitor medical equipment, perform diagnostic tests and analyze results, and educate patients and families on how to manage illnesses or injuries. Some RN’s oversee LPNs, CNAs, and HHAs. There are three pathways to become a registered nurse: receive a Bachelor of Science Degree in nursing (BSN), an Associates Degree in nursing (ADN), or a diploma from an approved nursing program. RNs also must pass the National Council of Licensure Examination before practicing.

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a "The Guide To Being A Baby Boomer" (seniorliving.orgopens in new window), site accessed 05/14/19.

b 2019 U.S. Department of Health and Human Services (longtermcare.acl.govopens in new window), site accessed 03/30/20.

c Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Home Health Aides and Personal Care Aides, on the Internet at https://www.bls.gov/ooh/healthcare/home-health-aides-and-personal-care-aides.htmopens in new window (visited 03/30/20).

d Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Nursing Assistants and Orderlies, on the Internet at https://www.bls.gov/ooh/healthcare/nursing-assistants.htmopens in new window (visited 03/30/20).

e Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Licensed Practical and Licensed Vocational Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/licensed-practical-and-licensed-vocationalnurses.htmopens in new window (visited 03/30/20).

f Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Registered Nurses, on the Internet at https://www.bls.gov/ooh/healthcare/registered-nurses.htmopens in new window (visited 03/30/20).

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